Veterinary Surgery最新文献

{"title":"Effect of hydrocolloid-nitric oxide wound dressings on wound healing in dogs.","authors":"Jenniffer M Rodriguez-Diaz, Mandy L Wallace, Sarah A Emond, Danielle McNabney, Katie M Hodges, Elizabeth W Howerth","doi":"10.1111/vsu.14149","DOIUrl":"10.1111/vsu.14149","url":null,"abstract":"<p><strong>Objective: </strong>To determine the rates of wound healing in surgically created wounds between nitric oxide releasing wound dressings and control wound dressings.</p><p><strong>Study design: </strong>Prospective, controlled, randomized experimental study.</p><p><strong>Animals: </strong>Purpose-bred, adult, male Beagles (n = 6).</p><p><strong>Methods: </strong>Four 2 × 2 cm wounds were surgically created on the trunk of each dog with each wound randomized to treatment with a nitric oxide wound pad (NP), nitric oxide wound gel (NG), plain hydrocolloid wound dressing (HC), or Telfa pad (T). Wound images were taken daily for 8 days then every other day until day 21 with images masked and randomized for evaluation. Total wound area, contraction percentage, and days until granulation were calculated.</p><p><strong>Results: </strong>Time to first appearance of granulation tissue was significantly shorter for NP (3.2 days) than for NG (4 days; p = .023), HC (4.5 days; p = .001), and T (5.2 days; p < .0001). There were significant differences in total wound area and contraction percentage between sites and treatments (p < .001). Total wound area for NG was lower than treatment T (0.7 ± 0.1 cm³; p < .001), HC (0.9 ± 0.1 cm³, p < .001), and NP (0.6 ± 0.1 cm³, p < .001).</p><p><strong>Conclusion: </strong>Use of a nitric oxide wound dressing resulted in faster wound healing as evidenced by lower total wound area and higher contraction in the NG group and faster time to granulation tissue development in the NP group.</p><p><strong>Clinical significance: </strong>Nitric oxide wound dressings are innovative and inexpensive products that can significantly decrease the amount of time and cost necessary for open or second intention wound resolution in dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1351-1365"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hybrid, transarticular external fixation with platelet-rich plasma injection as a treatment for partial calcaneal tendon disruption in dogs without primary tenorrhaphy.","authors":"Ryan A Boharski, Jason L Wheeler, Alan R Cross, Joshua Jackson, Steven Peterson","doi":"10.1111/vsu.14164","DOIUrl":"10.1111/vsu.14164","url":null,"abstract":"<p><strong>Objective: </strong>To report the use of a hybrid, transarticular external skeletal fixator and platelet-rich plasma injection without primary tenorrhaphy for management of partial calcanean tendon disruption in dogs.</p><p><strong>Study design: </strong>Multi-institutional retrospective study.</p><p><strong>Animals: </strong>A total of 11 client-owned dogs.</p><p><strong>Methods: </strong>Medical records from two referral centers from 2019 to 2022 were reviewed for inclusion in the study. Dogs diagnosed with partial, non-traumatic calcanean tendon disruption treated with hybrid, transarticular external skeletal fixation and platelet-rich plasma injection were included in the study. Cases that did not include complete postoperative follow-up over 8-12 weeks and owner-reported outcomes at >6 months were excluded from the study. Dogs with traumatic laceration or those in which a primary tenorrhaphy was performed were also excluded.</p><p><strong>Results: </strong>A total of 11 (n = 11) dogs met the inclusion criteria. Median follow-up time was 18.5 months (6 months-34 months). Mean time of fixation was 9 weeks (6 weeks-12 weeks). Five dogs returned to full, pain-free function (5/11 = 45%). Five dogs had an acceptable return to function (5/11 = 45%). One dog had an unacceptable outcome (1/11 = 9%). Pin tract complications occurred in five dogs (5/11 = 45%) and resolved with medical intervention.</p><p><strong>Conclusion: </strong>The results of this study suggest that temporary tibiotarsal immobilization with a hybrid, transarticular external skeletal fixator and platelet-rich plasma injection without primary tenorrhaphy can lead to a successful outcome in dogs with partial calcanean tendon disruption.</p><p><strong>Clinical significance: </strong>Temporary hybrid, transarticular external skeletal fixation and platelet-rich plasma injection without primary tenorrhaphy may play a role in the management of partial calcanean tendon disruption in dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1390-1398"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stabilization of 82 sacroiliac luxations in 67 cats using two sacroiliac screws (2014-2023).","authors":"Kevin R L Schreiber, Alexandre Thibault, Martin Hamon, Philippe Haudiquet","doi":"10.1111/vsu.14167","DOIUrl":"10.1111/vsu.14167","url":null,"abstract":"<p><strong>Objective: </strong>To describe sacroiliac luxation stabilization in cats using two screws and to report clinical and radiographic short-term outcomes.</p><p><strong>Study design: </strong>Retrospective clinical cohort study.</p><p><strong>Sample population: </strong>Cats (n = 67) with sacroiliac luxation.</p><p><strong>Methods: </strong>Case records of cats presented for sacroiliac luxation stabilized using two screws per side affected, one lag and one positional, between 2014 and 2023 were reviewed. The percentage of sacral purchase (PoSP) for each screw, percentage of reduction (PoR), and pelvic canal width ratio (PCWR) were measured and calculated.</p><p><strong>Results: </strong>Eighty-two sacroiliac luxations were stabilized. Two 2.0 mm screws were used in 69 cases; two 2.4-mm screws in nine cases, and one 2.4 mm with one 2.0 mm screw in four cases. The mean PoSPs for lag and positional screws were 46% ± 12 and 31% ± 11, respectively. The median PoR was 89% (41 to 100). The mean PCWR was 1.23 ± 0.11. Clinical follow up was available for 42 cats with 53 sacroiliac luxations at a median of 87 days (36 to 2503). The full function was noted in 34 patients (81%). Screw failure occurred in five sacroiliac joints (4.7%), including loosening (n = 3), and breakage (n = 2) of the positional screws (n = 1). Pelvic canal diameter was maintained in all cases.</p><p><strong>Conclusion: </strong>Excellent functional and radiographic outcomes were obtained for cats with sacroiliac luxation stabilized with two sacroiliac screws.</p><p><strong>Clinical significance: </strong>Feline sacroiliac luxation can be stabilized using two sacroiliac screws.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1366-1376"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary in vivo investigation of the mesenchymal stromal cell secretome as a novel treatment for methicillin-resistant Staphylococcus aureus in equine skin wounds.","authors":"Megan J Fahey, Rebecca M Harman, Matthew A Thomas, Brenna R Pugliese, Jeanine Peters-Kennedy, Michelle L Delco, Gerlinde R Van de Walle","doi":"10.1111/vsu.14170","DOIUrl":"10.1111/vsu.14170","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to study the antimicrobial and pro-healing potential of equine mesenchymal stromal cell secreted products (i.e. secretome), collected as conditioned media (mesenchymal stromal cell-conditioned media, MSC CM), in a novel in vivo model of methicillin-resistant Staphylococcus aureus (MRSA)-inoculated equine thorax wounds.</p><p><strong>Study design: </strong>Prospective in vivo study.</p><p><strong>Animals: </strong>Two Thoroughbred geldings.</p><p><strong>Methods: </strong>Six full-thickness cutaneous wounds were created bilaterally on the dorsal thorax of two horses (n = 12 wounds/horse). Wounds on the left thoraces were inoculated with MRSA on day 0. All wounds were then treated with either mupirocin ointment, MSC CM, or vehicle control (n = 4 wounds per group) once daily for 3 days. Photographs were taken to quantify wound scores and sizes, as well as samples to determine bacterial colony forming units (CFUs), at days 0, 1, 2, 3, 7, 14, 21, and 28. The wound edge was biopsied on days 0, 7, and 28, and scored histologically.</p><p><strong>Results: </strong>Inoculated wounds had more bacterial CFUs at day 1 (p < .0001) and were larger in size at day 28 (p = .0009) than noninoculated wounds. Mupirocin-treated wounds were smaller than MSC CM and vehicle control-treated wounds at day 28 (p = .003). Mesenchymal stromal cell-conditioned media did not affect CFU numbers in inoculated and noninoculated wounds. Moreover, MSC CM did not affect the parameters of wound size or gross or microscopic wound scores over time.</p><p><strong>Conclusion: </strong>Mesenchymal stromal cell-conditioned media did not exhibit antimicrobial or pro-healing properties in the current study; however, the in vivo model of inoculated equine thorax wounds requires further optimization.</p><p><strong>Clinical significance: </strong>This pilot study contributes to a growing understanding of the equine MSC secretome as an antimicrobial and pro-healing therapeutic for equine wounds.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1377-1389"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Gastrointestinal thickness, duration, and leak pressure of five intestinal anastomosis techniques in cats\".","authors":"","doi":"10.1111/vsu.14159","DOIUrl":"10.1111/vsu.14159","url":null,"abstract":"","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1350"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Second-look arthroscopic findings after CORA-based leveling osteotomy\".","authors":"","doi":"10.1111/vsu.14157","DOIUrl":"10.1111/vsu.14157","url":null,"abstract":"","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1349"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Buccal mucosal graft urethroplasty in five male dogs with penile urethral stricture at the bulbus glandis.","authors":"Athipot Jareonsuppaperch, Thepsopa Assawateerakiat, Nobuo Sasaki, Wanchart Yippaditr","doi":"10.1111/vsu.14088","DOIUrl":"10.1111/vsu.14088","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the feasibility of correcting penile urethral strictures at the bulbus glandis using buccal mucosal graft (BMG) urethroplasty in dogs.</p><p><strong>Study design: </strong>Prospective clinical trial.</p><p><strong>Animals: </strong>Five male dogs with urethral strictures located at the bulbus glandis.</p><p><strong>Methods: </strong>Urethrotomy was performed throughout the entire length of the urethral stricture including ~0.5 cm healthy urethra proximal and distal. The scarred tissue and unhealthy mucosa of the strictured urethra were completely excised. The graft was harvested from the buccal mucosa and tubularized at the stricture site using a urethral catheter as the skeleton. The catheter was maintained for 14 days after surgery and removed when no urethral leakage was identified on a positive-contrast retrograde urethrogram. The dogs were discharged after spontaneous urination was confirmed. Six months postoperative follow-up was completed for all dogs with repeated positive contrast urethrogram and an owner questionnaire to score urinary function and quality of life.</p><p><strong>Results: </strong>The five dogs recovered well following surgery and only one dog experienced a minor complication. All dogs were able to urinate normally after catheter removal. No evidence of leakage was identified on a 14 day postoperative retrograde positive contrast urethrogram and clinically at a median follow-up time of 182 days (range, 182-186). All owners scored the urinary function as excellent and ranked their satisfaction very high 6 months after the procedure.</p><p><strong>Conclusion: </strong>Buccal mucosal graft urethroplasty has positive outcomes for dogs with penile urethral strictures.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1412-1419"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a two-stage rumen cannulation on the health and rumen function of six lactating dairy cows.","authors":"Thomas Hartinger, Laura Beissel, Ezequias Castillo-Lopez, Thomas Wittek, Johann Huber, Qendrim Zebeli","doi":"10.1111/vsu.14182","DOIUrl":"https://doi.org/10.1111/vsu.14182","url":null,"abstract":"<p><strong>Objective: </strong>To determine the impact of a two-stage rumen cannulation on the health and rumen function of lactating dairy cows.</p><p><strong>Study design: </strong>Experimental study.</p><p><strong>Animals: </strong>Six lactating Holstein cows.</p><p><strong>Methods: </strong>We performed a two-stage rumen cannulation in six Holstein cows that were 49 ± 11 days in milk. The following clinical health parameters and digestion-associated variables were analyzed on seven measurement days, from before the first surgery until 28 days after the second surgery: body temperature, heart rate, respiratory rate, pain score, rumen fill score, fecal score, wet sieving, auscultation and palpation of the rumen, bodyweight, body condition score, and activity.</p><p><strong>Results: </strong>The pain score of the cows was constantly zero. Similarly, the body temperature and respiratory rate remained within physiological ranges, whereas the heart rate was slightly higher immediately after the second surgery. No differences were observed in rumen fill (2.00-2.67; p = .10) and fecal consistency scores (2.17-2.67; p = .42). The fecal particle size distribution showed negligible differences. The cows lost approximately 43 kg of bodyweight during the experiment (p < .01), which was reflected in a 0.5-point body condition score loss (p < .01).</p><p><strong>Conclusion: </strong>A temporary minimal negative effect of a two-stage rumenostomy on the health and body condition of early lactating Holstein cows was observed, whereas digestion was unaffected. Considering the limited sample size, further studies are required to substantiate these findings.</p><p><strong>Clinical significance: </strong>Given that animals are appropriately medically managed, experimental rumenostomy of lactating dairy cows may not compromise their health or rumen function.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome of 21 dogs treated for the portocaval subtype of extrahepatic portosystemic shunts.","authors":"Natalie Swieton, Chick Weisse, Allison L Zwingenberger, Frederico R Vilaplana Grosso, Kenneth A Carroll, Valery F Scharf, Kazushi Asano, Mandy L Wallace, Shiori Arai, Victoria J Lipscomb, Nicole S Amato, Jacqueline R Davidson, Ali M Aly","doi":"10.1111/vsu.14183","DOIUrl":"https://doi.org/10.1111/vsu.14183","url":null,"abstract":"<p><strong>Objective: </strong>To assess outcomes of dogs with side-to-side portocaval extrahepatic portosystemic shunts (PC-EHPSS) and poor portal perfusion to the liver treated with medical management alone (MM) or surgical attenuation (SA).</p><p><strong>Study design: </strong>Multi-institutional retrospective study.</p><p><strong>Animals: </strong>A total of 21 dogs with PC-EHPSS (14/21 MM and 7/21 SA).</p><p><strong>Methods: </strong>Medical records were reviewed, and data was collected on dogs <12 kg with PC-EHPSS treated with MM or SA between June 2008 to June 2021. Signalment, clinical signs, postoperative complications, bloodwork values, long-term clinical outcome, survival, and owner reported quality of life were recorded.</p><p><strong>Results: </strong>Of 21 dogs included, 10 were mixed breeds and 14 were females. Median age at time of presenting clinical signs was 163 days. At final follow-up examination (median 1119 days), all SA and 6/14 MM dogs were alive, with a median survival time of 2138 days following treatment onset. In surviving MM dogs, outcome was fair in 3/6 and poor in 3/6. In SA dogs with long-term follow-up, outcome was fair in 5/6, and poor in 1/6. A greater proportion of SA dogs had improved bloodwork parameter values at final follow-up examination, and the mean relative change in final bloodwork values was higher when compared to MM dogs.</p><p><strong>Conclusion: </strong>These findings demonstrate that SA has improved clinical outcomes to MM for PC-EHPSS; however, SA clinical outcomes appear worse than those previously reported for other EHPSS.</p><p><strong>Clinical significance: </strong>This information may have implications for expected outcomes in other EHPSS subtypes associated with severely diminished portal perfusion.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of fracture gap with implant failure in radius and ulna fractures in toy breed dogs-A multicenter retrospective cohort study.","authors":"Kate A Korchek, Sun Young Kim, Po-Yen Chou, Amy S Kapatkin, Kei Hayashi","doi":"10.1111/vsu.14179","DOIUrl":"https://doi.org/10.1111/vsu.14179","url":null,"abstract":"<p><strong>Objective: </strong>To assess the impact of a postoperative fracture gap on implant failure following radius and ulna fracture repair in toy breed dogs.</p><p><strong>Study design: </strong>Retrospective multicenter cohort study.</p><p><strong>Animals: </strong>A total of 80 client-owned toy breed dogs.</p><p><strong>Methods: </strong>Medical records and radiographs were reviewed for dogs <3.5 kg that had surgical repair of simple transverse radius and ulna fractures at four institutions from 2005 to 2019. Data collected included signalment, fracture location, implant types and thickness, plate working length, evidence of a postoperative fracture gap in the caudal cortex, postoperative care, occurrence of implant failure, and other complications. The association between potential risk factors and complications was examined using multivariable logistic regression.</p><p><strong>Results: </strong>A postoperative fracture gap in the caudal cortex was noted in 37 cases, and 10 cases experienced implant failure. Of the 43 cases without a gap, one case experienced implant failure. After adjusting for other variables, the fracture gap was significantly associated with implant failure (odds ratio = 23.0 [95% confidence interval: 2.7; 197.9], p = .004). Prolonged external coaptation was associated with minor and major complications other than implant failure (p = .04), while the absence of coaptation confounded the effects of the fracture gap on implant failure.</p><p><strong>Conclusion and clinical significance: </strong>Reduction of the caudal cortex of the radius is imperative to promote bone healing and prevent implant failure in transverse radius and ulna fractures of toy breed dogs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}